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Home My WebLink About04-0208BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 LYDIA L NICOLLS 10 FALCON CT MECHANICSBURG COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAXSEHENT. ALLONANCE OR DISALLOHANCE OF DEDUCTIONS, AND ASSESSNENT OF TAX ON JOINTLY HELD OR TRUST ASSETS ~ ~, ~, ~ DATE 02-16-2004 ;:~ . :: i ;£ ~;,~t!~ ESTATE OF NICOLLS DATE OF DEATH 11-26-1997 FILE NUMBER '04 FEB 13 P 3:28 COUNTY SSN/DC ACN CUMBERLAND 204-05-7449 04001642 Amount Remitted REV-15G8 ID( AFP (01-0~) MYRTLE R MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS '~ REV-1548 EX RFP (01-0~) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 02-16-2004 ESTATE OF NICOLLS HYRTLE R DATE OF DEATH 11-26-1997 COUNTY CUHBERLAND FILE NO. S.S/D.C. NO. 204-05-7449 ACN 04001642 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5070082999 TYPE OF ACCOUNT: C ) SAVINGS C~ CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 01-01-1979 Account Balance 1,516.19 Percent Taxable X 0.500 Amount Sub§ect to Tax ~58.I0 Debts and Deductions .00 Taxable Amount &58.10 Tax Rate ~ .06 Tax Due 59.49 TAX CREDITS: NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) NTEREST IS CHARGED THROUGH 02-24-2004 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ ( IF TOTAL DUE IS LESS THAN ~1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. } .00 59.49 15.51 54.80 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 LYDIA L NICOLLS 10 FALCON CT HECHANICSBURG COMMONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHEETTANCE TAX APPRAXSEI~ENT~, ALLOHANCE OR DXSALLOMANCE OF DEDUCTTONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS FILE NUHBER '04 FEB 13 P 3:28 COUNTY SSN/DC ACN DATE 02-16-2004 ESTATE OF NICOLLS MYRTLE R DATE OF DEATH 11-26-1997 CUMBERLAND 204-03-7449 04001645 Amount Remitted I MAKE CHECK PAYABLE AND REHIT PAYHENT TO= REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS REV-1548 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DZSALLONANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 02-16-2004 ESTATE OF NICOLLS MYRTLE R DATE OF DEATH 11-26-1997 COUNTY CUHBERLAND FILE NO. S.S/D.C. NO. 204-05-7449 ACN TAX RETURN NAS: CX) ACCEPTED AS FILED C ) CHANGED 04001645 JOINT OR TRUST ASSET XNFORHATXON FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5070025548 TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TIHE CERTIFICATE DATE ESTABLISHED 01-01-1979 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 1,248.15 0.500 624.08 o00 624.08 .06 $7.44 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR HONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." PAYHENT RECEIPT DISCOUNT C+) AHOUNT PAID DATE NUHBER INTEREST/PEN PAID INTEREST IS CHARGED THROUGH 02-24-2004 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORH TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ C IF TOTAL DUE IS LESS THAN ~1, NO PAYMENT IS REQUIRED. ZF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR}, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. } .00 57.44 14.51 51.95 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280&01 HARRISBURG, PA 17128-0&01 LYDIA L NICOLLS 10 FALCON CT MECHANICSBURG COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTTCE OF XI~ERTTANCE TAX APPRAISEMENT. ALLOi(ANCE OR DTSALLONANCE OF DEDUCTXONS~ AND ASSESSI~ENT OF TAX ON JOI'NTL¥ HELD OR TRUST ASSETS ,~ DATE 02-1&-2004 ' : '~:~ ESTATE OF NICOLLS DATE OF DEATH 11-26-1997 FILE NUMBER '04 FEB 13 ? 3:28 COUNTY SSN/DC ACN PA 17~,~}~b~,,i&,_,d co., PA CUMBERLAND 204-05-7449 04001644 Amount Remitted REV-1548 EX AFP C01-03) MYRTLE R MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THXS LINE ~'* RETAXN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 02-16-2004 ESTATE OF NICOLLS MYRTLE R DATE OF DEATH 11-26-1997 COUNTY CUMBERLAND FILE NO. S.S/D.C. NO. 204-05-7449 ACM 04001644 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5080025052 TYPE OF ACCOUNT: C~ SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 05-11-1994 Account Balance 1,259.79 Percent Taxable X 0.500 Amount Subject to Tax 619.90 Debts and Deductions .00 Taxable Amount 619.90 Tax Rate X .06 Tax Due 57.19 TAX CREDTTS: NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 02-24-2004 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ C IF TOTAL DUE IS LESS THAN ~1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR~,' YOU MAY ~E DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) .00 57.19 14.42 51.61 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF IND~VIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003641 NICOLLS LYDIA L 10 FALCON COURT MECHANICSBURG, PA 17055 ........ fold ESTATE INFORMATION: SSN: 204-03-7449 FILE NUMBER: 2104-0208 DECEDENT NAME: NICOLLS MYRTLE R DATE OF PAYMENT: 03/05/2004 POSTMARK DATE: 03/04/2004 COUNTY: CUMBERLAND DATE OF DEATH: 11/26/1997 ACN ASSESSMENT CONTROL NUMBER AMOUNT 00441644 $51.61 04001643 $51.95 00440642 $54.80 ': R~EMARKS' SEAL LYDIA L NICOLLS CHECK//8510 TOTAL AMOUNT PAID: $158.36 INITIALS: AC RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF TNDTV/DUAL TAXES INHERITANCE TAX DTVTSZON DEPT. 280601 HARRISBURG,, PA 17128-0601 COHHONgEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '04 /~Pi~ 26 LYDIA k NICOLLS 10 FALCON CT 170~'~i:~ HECHANICSBURG PA ~-';~,, %~ C . DATE 04-12-2004 ESTATE OF NICOLLS DATE OF DEATH 11-26-1997 .~ZLE NUHBER 21 04-0208 '~'~OUNTY CUHBERLAND ACN 04001645 Amoun~ Remi t'l'ed REV-I~07 EX AFP ¢n1-05) HYRTLE R HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF gILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit t;o your account, submit the upper portion of this form with your tax payment. CUT ALONG TH'rS L'rNE ~ RETA'rN LOgER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP (01-03) Nl~ ZNHER'rTANCE TAX STATEHENT OF ACCOUNT N~ ESTATE OF NICOLLS HYRTLE R FILE NO. 21 04-0208 ACN 04001645 DATE 04-12-2004 THIS STATEHENT ZS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN TN THE NANED ESTATE. SHO#N BELO# ZSA SUHHARY OF THE PRINCIPAL TAX DUE:, APPLICATION OF ALL PAYHENTS`, THE CURRENT BALANCE`, AND,, ZF APPLICABLE`, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT: 02-16-Z004 PRINCIPAL TAX DUE: ......................................................................................................................................................................................................................... PAYHENTS (TAX CREDITS): 37.44 PAYHENT RECEIPT DISCOUNT (+) DATE NUH~ER INTEREST/PEN PAID (-) AHOUNT PAID 05-04-2004 CD005641 14.51- 51.95 IF PAID AFTER THIS DATE~ SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), TOTAL TAX CRED'rT 37.44 BALANCE OF TAX DUE .00 INTEREST AND PEN. TOTAL DUE YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. ] PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RES[DENT DECEDENT make check or money order payable to: REG/STER OF NZLLS, AGENT. -- [f NON-RES[DENT DECEDENT make check or money order payable to: COHNONNEALTH OF PENNSYLVAN/A. REFUND (CR): A refund of a tax credit, ehich was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-131S). Applications are available at the Office of the Register of #ills, any of the Z3 Revenue District Offices or from the Department's Z~-hour ans#aring service for forms ordering: 1-800-56Z-Z050; services for taxpayers #ith special hearing and / or speaking needs: 1-800-~7-50Z0 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 171Z8-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (SZ) discount of the tax paid is allowed. PENALTY: The 1SZ tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. iNTEREST: interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January l, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rata of .00016~. Ali taxes which became daIinquant on and after January 1, 198Z wiiI bear interest at a rate which wi1! vary from calendar year to calendar year eith that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZO0~ are: Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year 198Z ZOZ .0005~8 1988-1991 llZ .OOOSOl Z001 1985 162 .000~38 1992 9Z .O00Z~7 ZOOZ 19&~ llZ .O00SOl 1993-199~ 7Z .00019Z ZOOS 1988 ZSZ .000356 1995-1998 9Z .000247 ZO0~ 1986 lOX .O00Z7~ 1999 7Z .OOO19Z 1987 9Z .OOOZ~7 ZOO0 8Z .000Z19 Interest Daily Rate Factor 92 .0002~7 6Z .00016~ 5Z .0001S7 ~Z .000110 --interest is calculated as follows: INTEREST = BALANCE OF TAX UNPA'rD X NUHBER OF DAYS DELXNQUBNT X DAXLY 'rNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. BUREAU OF TNDTVTDUAL TAXES TNHERTTANCE TAX DI'VZSTON DEPT. 180601 HARRISBURG.. PA 17118-0601 COHHONNEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE ZNHERZTANCE TAX $'I'ATEMENT OF ACCOUNT REV-ZGO? EX &FP [OZ-OS) LYDZA L NZCOLLS 10 FALCON CT MECHANZCSBURG PA 17055 i-~,:. DATE 0~-12-2004 ::~{~ ESTATE OF NZCOLLS DATE OF DEATH 11-26-1997 FZLE NUHBER 21 '0,~ APR 26 ~"Jt~Y CUMBERLAND ACN 040016~ Amoun~ Reaitted MYRTLE R HAKE CHECK PAYABLE AND RENZT PAYHENT TO: REGTSTER OF NTLLS CUHBERLAND CO COURT HOUSE CARLTSLE, PA 17015 NOTE: To insure proper cred/~ ~o your account, submit fha uppmr portion of this form with your tax payment. CUT ALONG TH'rS LZNE I~* RETAZN LONER PORTZON FOR YOUR RECORDS ESTATE OF NTCOLLS MYRTLE R F'rLE NO. 21 04-0108 ACN 040016~4 DATE 04-12-2004 THZS STATEHENT ZS PROVZDED TO ADVZSE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NANED ESTATE. SHONN BELO# ZS A SUNNARY OF THE PRZNCZPAL TAX DUE,, APPLZCATZON OF ALL PAYHENTS,, THE CURRENT BALANCE`' AND., ZF APPLZCABLE,, A PROJECTED ZNTEREST FZGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-16-2004 PRZNCZPAL TAX DUE: ......................................................................................................................................................................................................................... PAYHENTS (TAX CREDZTS): ~7.19 PAYHENT RECEZPT DZSCOUNT (+) DATE NUMBER ZNTEREST/PEN PAZD (-) AHOUNT PAZD 05-04-2004 CD005641 14.~2- 51.61 ZF PAZD AFTER THZS DATE`' SEE REVERSE SZDE FOR CALCULATZON OF ADDZTZONAL ZNTEREST. ( ZF TOTAL DUE ZS LESS THAN NO PAYNENT ZS RE~UZRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDZT" (CR), TOTAL TAX CREDZT 37.19 BALANCE OF TAX DUE .00 ZNTEREST AND PEN. TOTAL DUE .05 YOU NAY DE DUE A REFUND. SEE REVERSE SZDE OF THZS FORH FOR ZNSTRUCTZONS. ) PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF NILLS~ AGENT. -- Xf NON-RESIDENT DECEDENT make check or money order payable to: COMMONNEALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may bm requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Nills, any of the Z3 Revenue District Offices or frei the Department's Zq-hour answering service for forms ordering: 1-SOO-36Z-ZOSg; services for taxpayers with special hearing and / or speaking needs: 1-800-qq7-3OZO (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (SI) discount of the tax paid is allowed. PENALTY: The 15Z tax amnesty non-participation penalty is computed on 'the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (TX) percent par annum calculated at a daily rate of .OOg16q. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO~ are: interest Daily Interest Daily Year Rate Factor Year Rate Factor Year 1982 202 .goose8 1988-1991 112 .OOO3Ol 2001 1983 162 .000~38 1992 92 .0002q7 ZOOZ 198~ 112 .OO03Ol 1993-199~ 72 .000192 2003 1985 132 .000356 1995-1998 9Z .O00Zfi7 ZOOq 1986 102 .OOOZ7~ 1999 7Z .000192 1987 92 .000247 2000 8Z .000219 Interest Daily Rate Factor 92 .0002~7 62 .00016~ 52 .000137 qZ .O00XlO --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. BUREAU OF tNDTVZDUAL TAXES I*NHERZTANCE TAX DI'VISTON DEPT. Z80601 HARRISBURG,, PA 17128-0601 COMNONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE ZNHERZTANCE TAX STATEMENT OF ACCOUNT REV-i&07 EX AFP C01-05) '04 ~?R 2~ LYDIA L NZCOLLS 10 FALCON CT HECHANICSBURG PA lZ~5 DATE 04-12-200q ESTATE OF NICOLLS MYRTLE R DATE OF DEATH 11-26-1997 FILE NUMBER 21 04-0208 COUNTY CUMBERLAND ACN 0q001642 Amoun~ Rmmi~md HAKE CHECK PAYABLE AND REMIT PAYHENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper crmdi~ ~o your mccoun(, submi~ ~hm upper portion of (hAs form wi~h your ~ax payment:. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS *~ REV-1607 EX AFP (01-03} NNN INHERITANCE TAX STATEMENT OF ACCOUNT ~NN ESTATE OF NICOLLS MYRTLE R FILE NC. Z10~-OZ08 ACN 0q0016~2 DATE 0~-1Z-2004 TNTS STATEMENT TS PROVTDED TO ADV/SE OF THE CURRENT STATUS OF THE STATED ACN TN THE NAHED ESTATE. SHOWN BELO# TS A SUMMARY OF THE PR/NC/PAL TAX DUE., APPLZCATTON OF ALL PAYMENTS, THE CURRENT BALANCE:. AND, ZF APPL/CABLE, A PROJECTED /NTEREST FZOURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTHENT: OZ-16-ZOOq PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................ PAYMENTS (TAX CREDITS): $9.~9 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID O$-Oq-2OOq CDOO$6ql 15.$1- 5q.80 ZF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), TOTAL TAX CREDIT $9.49 BALANCE OF TAX DUE .00 INTEREST AND PEN. .0~ TOTAL DUE .04 YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THTS FORM FOR /NSTRUCTTONS. ) PAYNENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on tho reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF NILLSj AGENT, -- if NON-RESTDENT DECEDENT make check or money order payable to: CONHON#EALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications are available at the Office of the Register of Nills, any of the 13 Revenue District Offices ar free the Department's Z4-hour ansaaring service for forms ordering: 1-800-361-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-~47-3010 (TT only). REPLY TO: questions regarding errors contained on this notice should be addressed to: PA Department of Revenue) Bureau of individual Taxes, ATTN: Post Assessment Review Unit) Dept. 280601, Harrisburg) PA 17116-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid aithin three (3) calendar months after the decadent's death, a five percent (51) discount of the tax paid is aZlomad. PENALTY: The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. /NTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (61) percent par annum calculated at a daily rata of .00016~. Al! taxes which became delinquent on and after January 1, 1981 mill bear interest at a rate which mill vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through ZO0~ are: Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year 1982 ZOZ .0005~8 1988-1991 111 .000301 Z001 1983 161 .000~38 1991 91 .0002~7 2002 1984 111 .000301 1993-1994 71 .000192 2003 1985 131 .000356 1995-1998 91 .000247 2004 1986 102 .OOOZ7q 1999 71 .000192 1987 91 .OOOZ~7 ZOO0 81 .000219 Interest Daily Rate Factor 92 .0002~7 62 .00016~ SZ .000157 41 .000110 --Interest is calculated as folloas: INTEREST = BALANCE OF TAX UNPAID X NUI(BER OF DAYS DELXNGIUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest suet be calculated.